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Organization
WISDOM TEETH AWAY INCORPORATED DENTAL PRACTICE OF JUAN JOSE ALZATE D.D
Active
Organization
WISDOM TEETH AWAY INCORPORATED DENTAL PRACTICE OF JUAN JOSE ALZATE D.D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN JOSE ALZATE D.D.S. (PRESIDENT)
(559) 447-5781
Entity
Organization
Contact information
Practice address
5640 N FRESNO STREET, SUITE 101, FRESNO, CA 93710-8330
(559) 447-5781
(559) 272-0370
Mailing address
5640 N FRESNO STREET, SUITE 101, FRESNO, CA 93710-8330
(559) 447-5781
(559) 272-0370
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50558
CA
Other
Enumeration date
08/16/2017
Last updated
03/15/2018
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